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� <br />� <br />SITE ADDRESS <br />50�117 �� <br />LEGA LOT NO. <br />DESC. <br />P�r�MIT APPLICATIC�,J <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />�-� i �'1 �Qn�� i�a � <br />I BLOCK I TRACT <br />PARCEL TAX I.D. k <br />PEfiM1T p <br />nloa�s <br />....�.�., � �--"--- <br />�1111 ���21(C�ha�P•f SoZ10 w�1-lishlunr� �2d. q�a�3 yas�3s3a�as <br />TENANT NAME CONTACT NAME PHONE <br />I S��e\1�Y �ee �CMFleai;n`J' �iaS-is�l-(n�O�O�O <br />CONTRACTOR c h1 ���9- ( ��v�, <br />PHONE u�` , � J/�i_�1_I_I <br />1 � ��1 u� U� �p <br />PROPOSED USE OF BUILDING <br />5 i��`.�.� 1 c�m; �y <br />2e.S �c\eti�c� <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION <br />NO. I TYFE OF FlXTURE OR ITEM <br />WATEFiCLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />A I O I �S ���!QCI W�{ �P CONTR. LICENSE N <br />y �8a�i �N�A��oasa� <br />Building Mechanical Addition <br />PERMIT R Combination � Plumbing WORK Alteration <br />TYPE g Demolilion U Sign TYPE New <br />Sprinkler Repair/Maint. <br />NO. <br />HEATSOURCE <br />Electric <br />Gas <br />ome� <br />C�TV OF EVERETT LOCAL SALES TAX COOE IS 3105 <br />TYPE OF FI%TURE OR ITEM <br />A!C — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACElSTOVE <br />FIREPLACE INSEfiT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WOPK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GFANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT i AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MAOE AND I COMPLY WITH THE STATE <br />CONTRAC�OR�1 LAW� 18.2�R�CW AN 296200 WAC. C�� /r � <br />k �.P �lii � � �, <br />